THE  SMITH  COLLEGE  EXPERIMENT 

IN  TRAINING  FOR  PSYCHIATRIC 

SOCIAL  WORK 


By 
W.  A.  NEILSON,  LL.D. 

President  of  Smith  College 


THE   NATIONAL  COMMITTEE  FOR 

MENTAL  HYGIENE,    Inc. 

50   Union   Square 

New  York  City 

1919 


REPRINT  NO.  46. 


Rational  Committee  for  Jttental 

FOUNDED  1909  INCORPORATED  1916 

50  UNION  SQUARE,  NEW  YORK  CITY 

President 
DR.  LEWELLTB  F.  BARKER 


CHARLES  W.  ELIOT 


Vice-Presidents 
DR.  WALTER  B.  JAMES 

Treasurer 
OTTO  T.  BANNARD 


DR.  WILLIAM  H.  WELCH 


Executive  Committee 
DR.  WILLIAM  L.  RUSSELL,  Chairman 

DR.  LEWELLTS  F.  BARKER  DR.  WALTER  E.  FERNALD 

DR.  GEORGE  BLUMER  MATTHEW  C.  FLEMING 

DR.  OWEN  COPP  DR.  GEOHGE  H.  KIRBT 

STEPHEN  P.  DUGGAN 


Committee  on  Mental  Deficiency 
DR.  WALTER  E.  FERNALD,  Chairman 
DR.  L.  PIERCE  CLARK 

DR.  CHARLES  S.  LITTLE 

Finance  Committee 
DR.  WALTER  B.  JAMES,  Chairman 
OTTO  T.  BANNAHD 

RUSSELL  H.  CHITTENDEN 
*  DR.  WILLIAM  B.  COLET 

STEPHEN  P.  DUGGAN 

WILLIAM  J.  HOGGSON 


War  Work  Committee 
DR.  CHARLES  L.  DANA,  Chairman 

DR.  FRANKWOOD  E.  WILLIAMS,  Vice-Chairman 

Executive  Officers 

DR.  THOMAS  W.  SALMON,  Medical  Director 
DR.  FRANKWOOD  E.  WILLIAMS,  Associate 

Medical  Director 
CLIFFORD  W.  BEERS,  Secretary 


MEMBERS 


MRS.  MILO  M.  ACKER,  Hornell,  N.  Y. 

JANE  ADDAMS,  Chicago 

EDWIN  A.  ALDERMAN,  Charlottesville,  Va. 

MRS.  A.  A.  ANDERSON,  Greenwich,  Conn. 

DR.  PBARCB  BAILEY,  New  York 

DR.  CHARLES  P.  BANCROFT,  Concord,  N.  H. 

OTTO  T.  BANNARD,  New  York 

DR.  LEWELLYS  F.  BARKER,  Baltimore 

DR.  ALBERT  M.  BARRETT,  Ann  Arbor,  Mich. 

DR.  FRANK  BILLINGS.  Chicago 

SURO.  GEN.  RUPERT  BLUE,  Washington 

DR.  GEORGE  BLUMER,  New  Haven 

DR.  G.  ALDER  BLUMEH,  Providence 

WILLIAM  H.  BURNHAM,  Worcester 

DR.  C.  MACFIE  CAMPBELL,  Baltimore 

RUSSELL  H.  CHITTENDEN,  New  Haven 

DR.  L.  PIERCE  CLARK,  New  York 

DR.  WILLIAM  B.  COLBY,  New  York 

DR.  OWEN  COPP,  Philadelphia 

DR.  CHARLES  L.  DANA,  New  York 

C.  B.  DAVENPORT,  Cold  Spring  Harbor,  N.  Y. 

STEPHEN  P.  DUGGAN,  New  York 

CHARLES  W.  ELIOT,  Cambridge 

DR.  CHARLES  P.  EMERSON,  Indianapolis 

ELIZABETH  E.  FARRELL,  New  York 

W.  H.  P.  FAUNCE,  Providence 

KATHERINB  S.  FELTON,  San  Francisco 

DR.  WALTER  E.  FERNALD,  Waverley,  Mass. 

JOHN  H.  FINLEY,  Albany 

IRVINO  FISHER,  New  Haven 

MATTHEW  C.  FLEMING,  New  York 

HOMER  FOLKS,  New  York 

DR.  CHARLES  H.  FRAZIER,  Philadelphia 

JAMES,  CARDINAL  GIBBONS,  Baltimore 

ARTHUR  T.  HADLEY,  New  Haven 

DR.  WILLIAM  HEALY,  Boston 

DR.  ARTHUR  P.  HERRING,  Baltimore 

HENRY  L.  HIGGINSON,  Boston 

DR.  AUGUST  HOCH,  Santa  Barbara,  Cal. 

WILLIAM  J.  HOGOSON,  Greenwich,  Conn. 

DR.  WALTER  B.  JAMES,  New  York 

MRS.  WILLIAM  JAMES,  Cambridge 

HARRY  PRATT  JUDSON,  Chicago 


DR.  CHARLES  G.  KBHLEY,  New  York 

DR.  GEORGE  H.  KIHBY,  New  York 

FRANKLIN  B.  KIRKBRIDB,  New  York 

DR.  GEORGE  M.  KLINE,  Boston 

JOHN  KOREN,  Boston 

JULIA  C.  LATHROP,  Washington 

ADOLPH  LEWISOHN,  New  York 

SAMUEL  McCuNE  LINDSAY,  New  York 

DR.  CHARLES  S.  LITTLE,  Thiells,  N.  Y. 

GEORGE  P.  MCLEAN,  Simsbury,  Conn. 

V.  EVERIT  MACY,  Scarborough,  N.  Y. 

MARCUS  M.  MARKS,  New  York 

MRS.  WILLIAM  S.  MONROE,  Chicago 

DR.  J.  MONTGOMERY  MOSHEH,  Albany 

DR.  FRANK  P.  NORBURY,  Jacksonville,  111. 

WILLIAM  CHURCH  OSBORN,  New  York 

DR.  STEWART  PATON,  Princeton 

DR.  FREDERICK  PETERSON,  New  York 

HENRY  PHIPPS,  New  York 

GIPFORD  PINCHOT,  Washington 

FLORENCE  M.  RHETT,  New  York 

DR.  ROBERT  L.  RICHARDS,  Talmage,  Cal. 

MRS.  CHAS.  C.  RUMSEY,  Wheatley  Hills,  N.  Y. 

DR.  WILLIAM  L.  RUSSELL,  White  Plains,  N.  Y. 

JACOB  GOULD  SCHUHMAN,  Ithaca 

DR.  ELMER  E.  SOUTHARD,  Boston 

DR.  M.  ALLEN  STARR,  New  York 

DR.  HENRY  R.  STEDMAN,  Brookline,  Mass. 

ANSON  PHELPS  STOKES,  New  Haven 

DR.  CHARLES  F.  STOKES,  Briarcliff,  N.  Y. 

DR.  FREDERICK  TILNEY,  New  York 

VICTOR  MORRIS  TYLER,  New  Haven 

MRS.  WILLIAM  K.  VANDERBILT,  New  York 

HENRY  VAN  DYKE,  Princeton 

DR.  HENRY  P.  WALCOTT,  Cambridge 

LILLIAN  D.  WALD,  New  York 

DR.  WILLIAM  H.  WELCH,  Baltimore 

BENJAMIN  IDE  WHEELER,  Berkeley,  Cal. 

DR.  WILLIAM  A.  WHITE,  Washington 

DR.  HENRY  SMITH  WILLIAMS,  New  York 

ROBERT  A.  WOODS,  Boston 

ROBERT  M.  YEHKES,  Minneapolis 


CHIEF  PURPOSES:  To  work  for  the  conservation  of  menial  health;  to  promote  the  study  of  mental  disorders  and  mental 
defects  in  all  their  forms  and  relations;  to  obtain  and  disseminate  reliable  data  concerning  them;  to  help  raise  the  standards 
of  care  and  treatment;  to  help  coordinate  existing  agencies,  federal,  state  and  local,  and  to  organize  in  every  state  an  affiliated 
Society  for  Mental  Hygiene. 


•n 

[Reprinted  from  MENTAL  HYGIENE,  Vol.  Ill,  No.  1,  pp.  59-64,  January,  1919.] 


THE  SMITH  COLLEGE  EXPERIMENT  IN  TRAIN- 
ING FOR  PSYCHIATRIC  SOCIAL  WORK* 

W.  A.  NEIL8ON,  LL.D. 

President  of  Smith  College 

T  FEEL  somewhat  apologetic  in  appearing  here  as  a  mere  lay- 
•1  man  in  the  company  of  experts  and  special  students,  because 
professionally  I  know  nothing  about  mental  hygiene  and  nothing 
about  psychiatry,  and  am  only  a  college  administrator  whose 
fortune  it  was  last  summer,  under  the  stress  of  the  war,  to  come 
into  contact  with  the  special  study  that  brings  you  together  here 
today. 

Last  spring  the  authorities  of  Smith  College  felt  disturbed,  like 
their  colleagues  in  other  institutions,  at  the  prospect  of  lying  idle 
through  the  summer  when  everyone  in  the  country  was  doing  an 
extra  share  in  the  war  emergency.  The  result  of  their  looking 
about  for  a  profitable  way  to  employ  their  equipment  and  their 
resources  in  summer  was  that  they  came  under  the  advice  of  a 
sub-committee  of  The  National  Committee  for  Mental  Hygiene; 
and,  with  the  aid  of  the  Psychopathic  Department  of  the  Boston 
State  Hospital,  especially  under  the  influence  of  Dr.  E.  E.  South- 
ard, they  undertook  an  entirely  new  experiment  for  them,  and  in 
some  respects,  as  regards  scale  at  least,  a  new  experiment  for  the 
country  as  a  whole.  They  attempted  to  establish  a  method  for 
the  training  of  psychiatric  social  workers — a  phrase  which  I  con- 
fess terrified  my  constituency  until  they  learned  how  to  spell  it. 

The  purpose  in  view  was  to  educate  women  so  that  they  might 
help  in  getting  up  the  social  history  of  cases  presented  for  diagnosis 
to  psychiatrists,  that  they  might  be  of  use  in  the  treatment  of 
such  cases,  and  that  finally  they  might  serve  in  the  social  read- 
justment of  psychopathic  cases  discharged  from  hospitals.  The 
interest  of  the  moment  was  of  course  in  mental  and  nervous  dis- 
orders resulting  from  the  war,  but  they  were  assured  that  this  class 
of  disorders  was  by  no  means  confined  to  war  conditions  and 

*  Read  as  part  of  a  symposium  on  mental  hygiene  and  education  at  the  annual  meeting 
of  the  Massachusetts  Society  for  Mental  Hygiene,  Tremont  Temple,  Boston,  January  16, 
1919.  The  other  papers  in  the  symposium  were:  "The  Need  for  Instruction  in  Mental 
Hygiene  in  Medical,  Law  and  Theological  Schools,"  by  Dr.  H.  Douglas  Singer;  "Mental 
Hygiene  and  the  Public  School,"  by  Dr.  Arnold  Gesell;  "Facts  of  Mental  Hygiene  for 
Teachers,"  by  Dr.  Walter  F.  Dearborn,  and  "Nervous  Children  and  Their  Training,"  by 
Dr.  C.  Macfie  Campbell,  pages  4,  11,  16,  24,  MENTAL  HYGIENE,  Vol.  Ill,  No.  1 

1 


2  MENTAL  HYGIENE 

that  the  profession  for  which  they  proposed  to  train  would  be  a 
permanent  one. 

It  was  clearly  understood  from  the  beginning  that  we  were  not 
to  make  psychiatrists  and  that  we  were  not  making  half -doctors. 
These  women  were  to  be  aides  to  experts.  The  first  lesson  that 
was  taught  all  the  members  of  the  school  was  professional  mod- 
esty. The  training  given  was  of  a  variety  of  kinds,  but  closely 
related.  The  center  of  them  all  was  psychiatry.  The  students 
were  made  familiar  with  the  various  forms  of  mental  and  nervous 
disorders.  They  were  taught  the  more  obvious  symptoms,  the 
ruling  causes.  They  learned  the  vocabulary  of  the  profession, 
and  much  of  the  external  aspects,  and  a  good  many  of  the  internal 
reasons.  The  idea  was  to  make  them  intelligent  cooperators 
with  the  psychiatric  doctors.  Along  with  this  went  the  training 
in  social  case-work,  from  which  they  learned  the  method  of  in- 
vestigating the  domestic,  social  and  industrial  environment  of 
these  cases,  and  the  influences  coming  from  these  various  sources 
having  a  bearing  upon  the  disease  in  question. 

Along  with  psychiatry  was  taught  a  good  deal  of  normal  psy- 
chology; then,  further  outside,  they  had  courses  in  sociology. 
Just  as  they  learned  the  normal  activities  of  the  human  mind  in 
the  courses  in  psychology  as  against  the  morbid  ones  hi  the 
psychiatric  courses,  they  learned  the  normal  organization  of 
society,  in  order  to  know  into  what  particular  social  fabric 
they  were  to  aim  to  replace  the  cases  that  were  to  come  under 
then-  care  later. 

The  members  of  the  school  were  mainly  graduates  of  the  wo- 
men's colleges.  They  were  selected  carefully,  largely  by  personal 
interview,  but  in  some  cases  by  correspondence.  Some  seventy 
women  were  collected  from  all  over  the  country,  twenty  different 
states  and  twenty  different  colleges  being  represented.  About  a 
dozen  of  the  seventy  had  not  been  through  college,  but  had  had 
what  we  are  pleased  to  call  the  equivalent  of  a  college  education. 
These  were  mostly  women  who  had  had  a  good  deal  of  social 
experience. 

The  didactic  part  of  the  course  lasted  for  eight  weeks,  from  the 
first  week  of  July  to  the  beginning  of  September,  followed  by  six 
months'  practical  application  of  what  had  been  learned,  in  hos- 
pitals and  other  social  agencies  in  Boston,  New  York,  Philadelphia 
and  Baltimore.  Of  the  fifty  or  more  students  who  completed  the 
didactic  course,  forty-seven  are  now  being  trained  under  observa- 


TRAINING  FOR  PSYCHIATRIC  SOCIAL  WORK  3 

tion,  with  occasional  instruction  and  criticism,  in  institutions  in 
these  four  cities.  By  March  there  will  be  about  fifty-five  more 
trained  social  workers  in  the  psychiatric  field  than  there  were  a 
year  ago,  through  this  particular  experiment. 

The  methods  of  instruction  were  the  usual  ones :  lectures,  read- 
ings, discussions,  clinical  demonstrations  at  the  neighboring  state 
hospital  for  the  insane,  with  lectures  attached  to  these  clinical 
observations. 

The  advantages  of  the  particular  experiment  were,  first  of  all, 
those  coming  from  the  comparative  isolation  of  the  group.  The 
college  of  ordinary  times  of  course  was  not  there.  It  was  during 
the  summer  vacation.  These  seventy  women  were  in  possession 
not  only  of  the  campus  but  also  of  the  town.  They  were  all  doing 
the  same  kind  of  work.  They  were  supposed  to  be  active  in  it 
eight  hours  a  day,  and  were  in  fact  on  the  average  active  in  it 
much  more  than  that  time.  There  were  no  college  activities,  no 
distractions;  there  was  no  suggestion  that  what  they  were  doing 
in  their  regular  work  was  a  task  and  that  something  else  was  re- 
laxation. They  enjoyed  their  work  to  a  degree  that  caused  grave 
reflection  hi  the  minds  of  any  person  professionally  engaged  in 
education  who  had  the  advantage  of  beholding  them.  The  con- 
trast with  the  ordinary  situation  in  an  American  so-called  institu- 
tion of  learning  was  a  cheering  contrast  as  far  as  this  school  was 
concerned — a  most  depressing  contrast  when  our  ordinary  insti- 
tutions are  considered.  I  should  dislike  to  be  forced  to  say  how 
many  weeks  of  regular  winter  work  it  would  take  to  equal  what 
was  accomplished  in  these  eight  weeks  in  summer.  The  isolation 
and  these  other  circumstances  mentioned  led  to  a  very  great 
intensity  in  their  operations.  The  homogeneous  nature  of  the 
group  was  also  a  great  aid ;  for  although  their  ages  ran  from  twenty 
to  forty-six  or  so,  and  although  some  of  them  were  just  out  of  col- 
lege and  others  had  seen  a  great  deal  of  life,  they  were  bound 
together  for  the  time  by  this  dominating  interest. 

A  great  many  incidental  questions  were  settled  by  the  experi- 
ment. The  kind  of  subject  matter  which  was  brought  to  their 
notice  was  quite  frequently  the  kind  that  is  not  supposed  to  b« 
talked  about  in  the  presence  of  young  girls — much  less,  said  to 
them.  There  was  no  nonsense  among  these  students.  There 
was  no  evidence  of  morbidity  of  any  kind.  They  were  there  to 
learn  to  be  of  service  to  the  community.  They  took  their  work 
seriously.  Their  intellectual  curiosity  was  kindled  and  they 


4  MENTAL  HYGIENE 

learned  a  great  deal  and  went  out  ready  to  apply  it  in  the  spirit  of 
active  social  service. 

This  was  made  possible  by  generous  cooperation.  The  Perma- 
nent Charity  Fund  of  Boston  provided  part  of  the  financial  means. 
A  good  many  of  the  staff  of  the  College  remained  through  the 
summer  and  gave  their  services.  A  very  large  number  of  dis- 
tinguished psychiatrists,  from  the  Pacific  Coast  to  the  Atlantic, 
came  and  gave  one  or  two  lectures  each  through  the  summer. 
There  was  no  distinction  between  those  who  were  working  for  a 
wage  and  those  who  were  not,  because  everyone  was  absorbed  by 
the  interest  of  the  experiment  and  the  magnitude  of  the  possible 
service. 

There  was  no  sentimentality  about  the  undertaking.  The  stu- 
dents were  taught  and  shown  the  particular  kind  of  needs  that 
they  were  meant  to  serve;  they  were  constantly  faced  by  un- 
pleasant facts,  and  there  was  no  need  for  any  artificial  working  up 
of  the  sentimental  emotions.  Any  decent  woman  would  have 
responded  as  they  did  to  the  necessity  for  acquiring  as  exact 
knowledge  as  possible,  and  as  much  of  it  as  possible,  for  the  meet- 
ing of  those  needs. 

Of  the  seventy,  some  three  or  four  fell  out  at  once,  fortunately 
recognizing  that  it  was  no  place  for  them.  A  few  more,  it  devel- 
oped, did  not  have  the  physical  strength.  Two  or  three  were 
found  not  up  to  the  mark  at  the  examinations.  The  tests  that 
were  applied  were  as  severe  as  the  ordinary  academic  tests.  The 
certificates  issued  to  those  who  were  to  be  allowed  the  privilege 
of  going  on  with  practical  work  were  given  after  severe  scrutiny, 
and  all  of  the  body  of  women  who  went  out  enjoyed  the  confidence 
of  the  lecturers  who  had  taught  them.  The  universal  testimony 
of  the  visiting  lecturers  was  that  they  had  seldom  had  the  privilege 
of  addressing  so  intelligent  an  audience  and  one  that  seemed  so 
worth  their  while. 

This  piece  of  work  was  done,  as  you  perceive,  under  great  pres- 
sure, like  nearly  all  the  war  work  of  the  colleges.  The  teaching 
part  of  it  was  condensed  into  eight  weeks;  the  practical  part 
crowded  into  six  months.  These  terms  would  not  have  been 
chosen  in  ordinary  times,  but  we  did  not  know  how  dire  the  need 
might  be  by  the  coming  spring  for  service  of  this  kind.  As  it 
turns  out,  the  need  is  not  going  to  be  so  great  as  we  feared. 

We  come,  then,  to  face  the  normal  situation  of  peace  times — the 
call  from  psychiatrists  for  intelligent,  trained  social  workers  to 


TRAINING  FOR  PSYCHIATRIC  SOCIAL  WORK  5 

aid  and  support  them,  and  to  carry  out  their  treatment  in  ordi- 
nary civil  cases.  The  question  that  naturally  would  be  asked  is 
whether  this  experiment  is,  on  the  part  of  the  college,  to  remain 
an  isolated  one,  or  whether  we  are  to  go  on  doing  this  kind  of  thing. 
The  answer  will  depend,  first  of  all,  upon  the  readiness  with  which 
hospitals  and  psychiatrists  avail  themselves  of  the  services  of  these 
women  when  their  training  is  finished.  Some  of  them,  those  who 
had  had  social  training  before  they  came  in  the  summer,  have 
already  been  placed.  Places  are  waiting  for  a  number  of  those 
who  are  now  taking  the  social  training;  and  some  of  the  others  are 
still  looking  about.  We  expect,  with  a  good  deal  of  confidence, 
that,  by  the  end  of  spring  when  all  the  students  have  finished, 
each  will  have  found  his  opportunity.  In  this  expectation  we  are 
naturally  going  on  with  further  plans. 

The  first  question  that  comes  up  is  whether  we  should  continue 
to  try  to  do  the  thing  in  as  great  a  hurry  as  before.  It  seems  wise 
to  expand  it  to  some  extent.  Much  of  the  special  advantage  of 
the  situation  would  be  lost  if  we  attempted  to  bring  such  a  group 
together  in  term  time,  when  they  would  be  surrounded,  and  I  may 
say  swamped,  by  two  thousand  undergraduates.  The  particular 
conditions,  I  think,  can  only  obtain  if  they  are  there  by  them- 
selves, or  at  least  accompanied  only  by  other  workers  preparing 
for  a  profession  in  somewhat  the  same  spirit. 

The  scheme  which  is  under  preparation  at  the  moment  is  to  go 
on  with  this  training  if  your  experts  encourage  us,  but  to  have  one 
course  of  eight  weeks  this  coming  summer  on  the  same  lines  as 
before,  followed  by  a  whole  winter  of  practical  work,  more  system- 
atically supervised  if  possible,  and  with  some  lecture  work  in- 
terspersed, and  completed  by  a  second  summer  of  eight  weeks, 
when  we  shall  be  able  to  deal  with  these  students  after  they  know 
much  more  of  the  problems  concerned  from  actual  experience. 
This  means  that  the  ordinary  college  graduate  who  wishes  to  go 
into  psychiatric  work  will  need  to  add  only  fourteen  months  to  her 
training  for  her  bachelor's  degree.  That  is,  she  will  be  able  to 
begin  her  profession  practically  one  year  later  than  she  normally 
would.  Instead  of  beginning  it  in  September  of  the  year  in 
which  she  graduated,  she  would  be  open  for  a  position  in  Septem- 
ber of  the  following  year,  having  had,  however,  four  months  of 
very  solid  and  highly  concentrated  specialist  instruction  in  the 
classroom,  and  eight  or  nine  months  of  practical  training  in  the 
field.  This  would  remove  the  training  from  the  class  of  war 


6  MENTAL  HYGIENE 

emergency  work;  it  would  no  longer  be  hurried — or  a  short  cut 
to  a  profession. 

The  possibility  of  this  kind  of  concentrated  training  arises 
partly  from  the  external  conditions  I  have  tried  to  describe,  but 
also  from  the  fact  that  we  are  dealing  with  women  who  have 
learned  how  to  study.  They  are  trained  minds,  selected  minds; 
they  know  what  they  want.  They  are  engaged  in  this  work,  all 
of  them,  not  in  order  to  get  diplomas  or  degrees  or  for  "college 
life,"  but  because  they  want  to  be  equipped.  Therefore  all  their 
energies  are  devoted  to  this  one  aim,  and  they  are  free  from  the 
demands  of  varied  studies,  from  the  feeling  that  it  is  necessary  for 
them  "to  play"  a  large  part  of  their  time,  and  from  the  distrac- 
tions of  a  large  city.  The  remoteness  of  Northampton  is  a  distinct 
advantage  in  this  respect.  From  the  point  of  view  of  climate,  it 
turned  out  to  be  entirely  possible.  It  was  tried  out  in  a  pretty 
hot  summer.  The  students  stood  it,  and  there  is  no  reason  to 
believe  that  they  could  not  stand  it  every  summer. 

How  long  the  work  will  be  continued,  how  far  it  will  be  devel- 
oped, depends  entirely  upon  the  reception  given  to  the  products 
of  the  school  by  the  profession,  and  the  supply  of  material.  I 
think  there  will  be  no  difficulty  in  getting  the  material.  The 
profession  is  one  of  absorbing  interest,  of  enormous  usefulness; 
and  it  can  only  be  a  matter  of  a  short  time  before  its  value  will 
appear  so  obvious  to  the  community  at  large  as  to  insure  a  demand 
greater  than  the  supply. 


UC  SOOJjBM  I qslMM!  llBmv  tmu 


A     000  494  969     9 


LIBRARY.  - 

THE  UNIVERSITY 
OF  CALIFORNIA 

SANTA  BARBARA 

PRESENTED  BY 

Frances   Hoi  den 


MENTAL  HYGIENE 

QUARTERLY   MAGAZINE    OF 

THE  NATIONAL  COMMITTEE  FOR  MENTAL  HYGIENE,  INC. 

EDITORIAL  OFFICE:  PUBLICATION  OFFICE: 

50  UNION  SQUARE,  NEW  YORK  CITY  10  DEPOT  STREET,  CONCORD,  N.  H. 


EDITORIAL  BOARD 

THOMAS  W.  SALMON,  M.D.,  Medical  Director,  The  National  Committee  for  Mental  Hygiene 
FRANKWOOD  E.  WILLIAMS,  M.D.,  Associate  Medical  Director,  The  National  Committee  for  Mental  Hygiene 

GBOHOB  BLUMEB,  M.D.,  Dean  of  the  Yale  Medical  School 

WALTER  E.  FERNALD,    M.D.,  Superintendent,  Massachusetts  School  for  Feebleminded 
C.  MACFIE  CAMPBELL,  M.D.,  Associate  Professor  of  Psychiatry,  Johns  Hopkins  University 

AUGUST  HOCH,  M.D.,  Former  Director,  Psychiatric  Institute,  N.  Y.  State  Hospitals 

STEPHEN  P.  DUQQAN,  PH.D.,  Professor  of  Education,  College  of  the  City  of  New  York 

STEWABT  PATON,  M.D.,  Lecturer  in  N  euro-biology,  Princeton  University 

INDEX 

Editorial 1 

Mental  Hygiene  and  the  Public  School Arnold  Gesell  4 

Facts  of  Mental  Hygiene  for  Teachers Walter  F.  Dearborn  11 

Nervous  Children  and  their  Training C.  Macfie  Campbell  16 

The  Need  for  Instruction  in  Mental  Hygiene,  in  Medical,  Law  and  Theological  Schools 

H.  Douglas  Singer  24 

Rehabilitation  and  Reeducation — Physical,  Mental  and  Social Shepherd  Ivory  Franz  83 

The  Right  to  Marry;  What  can  a  Democratic  Civilization  Do  about  Heredity  and 

Child  Welfare? Adolf  Meyer  48 

The  Smith  College  Experiment  in  Training  for  Psychiatric  Social  Work W.  A.  Neilson  59 

The  Social  Service  Bureau  at  Sing  Sing  Prison Paul  Wander  65 

Annual  Census  of  the  Insane,  Feebleminded,  Epileptics  and  Inebriates      (  Horatio  M .  Pollock 

in  Institutions  in  the  United  States,  January  1,  1918 \  Edith  M.  Furbush  78 

Notes  and  Comments 108 

Abstracts 

The  Scope  and  Aim  of  Mental  Hygiene.    By  William  H.  Burnham 133 

Psychiatric  Material  in  the  Naval  Prison  at  Portsmouth,  N.  H.     By  A.  L.  Jacoby 187 

A  Statistical  Study  of  164  Patients  with  Drug  Psychoses.    By  Horatio  M.  Pollock 141 

Mental  Defectives  and  the  Law.     By  Francis  D.Gallatin 144 

In  Defense  of  Worry.     Editorial  in  The  Outlook 147 

Book  Reviews 

Medical  and  Surgical  Therapy:  Volume  2:  Neuroses.     Edited  by  Sir  Alfred  Keogh 

C.  Macfie  Campbell  150 

The  Philosophy  of  Conduct;  an  Outline  of  Ethical  Principles.    By  S.  A.  Martin . .  E.  E.  Southard  151 
Practical  Medicine  Series:   Volume  10:    Nervous  and  Mental  Diseases. 

Edited  by  Hugh  T.  Patrick  and  Lewis  J.  Pollock Clarence  0.  Cheney  153 

The  Third  and  Fourth  Generation;  an  Introduction  to  Heredity. 

By  Elliot  Rowland  Downing Charles  B.  Davenport  153 

The  Unmarried  Mother.     By  Percy  G.  Kammerer Ernest  R.  Groves  154 

The  Mental  Survey.     By  Rudolf  Pintner Thomas  H.  Haines  155 

Die  Psychopathischen  Verbrecher  (The  Psychopathic  Criminal).     By  Karl  Birnbaum 

Bernard  Glueck  157 

Books  Received 167 

Current  Bibliography Mabel  W.  Brown  169 

Directory  of  Societies  and  Committees  for  Mental  Hygiene 176 

MENTAL  HYGIENE  will  aim  to  bring  dependable  information  to  everyone  whose  interest  or  whose  work 
brings  him  into  contact  with  mental  problems.  Writers  of  authority  will  present  original  communica- 
tions and  reviews  of  important  books;  noteworthy  articles  in  periodicals  out  of  convenient  reach  of  the 
general  public  will  be  republished;  reports  of  surveys,  special  investigations,  and  new  methods  of  preven- 
tion or  treatment  in  the  broad  field  of  mental  hygiene  and  psychopathology  will  be  presented  and  dis- 
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social  problems  will  find  the  magazine  of  especial  interest. 

The  National  Committee  for  Mental  Hygiene  does  not  necessarily  endorse  or  assume  responsibility  for 
opinions  expressed  or  statements  made.  Articles  presented  are  printed  upon  the  authority  of  their 
writers.  The  reviewing  of  a  book  does  not  imply  its  recommendation  by  The  National  Committee  for 
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freely  provided  appropriate  credit  be  given  to  MENTAL  HYGIENE. 

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Copyright,  1918,  by  the  National  Committee  for  Mental  Hygiene,  Inc. 


